Shelter Insurance Scholarship S 32 S Form PDF Details

Shelter Insurance is proud to offer the Shelter Insurance Scholarship S 32 S Form. This scholarship is open to all students who are attending an accredited college or university within the United States. To be eligible, students must submit a 500-word essay on the following topic: "How has your community service involvement affected your academic and personal growth?" Deadline for submissions is June 1, 2018. For more information and to apply, visit our website.

Below, you'll see quite a few particulars about shelter insurance scholarship s 32 s form PDF. You may study it prior to completing the gaps.

Form NameShelter Insurance Scholarship S 32 S Form
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesshelter insurance foundation scholarship 2021, shelter insurance application scholarship, shelter insurance scholarship 2021, shelter scholarship

Form Preview Example

Agent Name

Agent Number

Name of High School



This scholarship is offered only to graduating seniors at high schools where a Shelter Insurance Agent is actively participating in the Shelter Insurance Foundation Scholarship Program for the current school year. This scholarship application will be accepted only if the applicant is attending a high school that is currently sponsored by a local Shelter Insurance Agent.

Section I. Information to be supplied by applicant (Please print or type)

Full Name



















Birth Date



Full Name of Parent(s) or Guardian

Mailing Address of Parent(s) or Guardian (street or route, town, county, state, zip)

E-Mail Address (print clearly or type)

Phone Number (include area code)

In the space below, briefly summarize your school and community activities. List organizations of which you are a member and offices held. (Additional information may be attached if necessary.)

What college do you plan to attend?

(Must be no later than the September following high school graduation.)

Please list all other scholarships, awards or financial aids for which you have applied, or have been granted (indicate which) for the coming school years.

Name of Financial Aid


Has it been granted to you?


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What will be your major college study and what are your educational plans?

The applicant herewith consents that the Scholarship Selection Committee be fully informed as to the applicant’s scholastic standing, character, and other factors having a bearing on this application.

The applicant attests that he/she is not a natural born or legally adopted child of any Shelter Insurance® employee or salaried/contracted agent.

Signature of Applicant

After you have completed your part of this application, present this to your Principal or Counselor for certification and delivery to the Scholarship Selection Committee designated by the Shelter Insurance® Agent.

Section II. Information to be supplied by Principal or Counselor


This is to certify that the above applicant ranks



in a class of




Date of high school graduation will be






. The

applicant has

taken the following college entrance examinations under a statewide testing program:


Name of Test



Dated this


day of











Signature of Principal or Counselor

Name of High School

Address of High School

Gary Riepl

Name of Shelter Insurance® Agent


Agent #


PAGE | 2

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